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_ Flie WbrvusiukH <br /> SAN J. QUIN COUNTYPUBLIC HEALTH SaIGES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT S�o`Y�way. E , cary�r���•t BU8INESSIAGENCY vO,e,.a CT-r— • V0�C_ N <br /> ADDRESS 314t) r�aiA k.11_UgL, CA - <br /> PHONE C /G) 371"Q1E' � FACSIMILE /4 871 — 16-09 <br /> TENTATIVE'APPOINTMENT DATE TIME /0 A <br /> (Please give r to 10 bdainaaa days from dato of appileatIm siWmI tai) AUG 11 <br /> El CHECK BOX TO EXPEDITE REQUEST-$T6.ee FEE-REQUEST PROCESSED W 3 BUSINESS DAYS ENVrR 3 2000 <br /> SIGNATURE OF APPLICANT DATE PFRMNMFNT <br /> �fSF Vr�r <br /> FILE ADDRESS THIS SIDE EMD STAFF USE ONLY— <br /> /V <br /> NLYIV � V�-t- D-P/L(.`-GT PROGRAM ELEAEENT$SEARCH <br /> 5 <br /> 56 6-d rdCi�nlesL_ MCIL�� <br /> ENVIRONMEN AL HEALTH DIVISION FILES <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> �( OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOUD WASTE VEHICLE <br /> 'GT UNDERGROUND TANK(MONITOWNGfREMOVAL) ❑ 000 KENNEL ❑ DAIRY <br /> <HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PRO TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 0 MOTELJHOTEL O PUMPER TRUCKIYARDtCHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING 0 POOLISPA M LAND USE'APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY O PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> I. List up to ten addrosses in the space above. Select the type(s)of roles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0150 or mall to the <br /> address Indicated above. <br /> 2, EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will bo held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$73.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME: <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />